Healthcare Provider Details

I. General information

NPI: 1477423408
Provider Name (Legal Business Name): HOKU RISE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99-128 AIEA HEIGHTS DR
AIEA HI
96701-3925
US

IV. Provider business mailing address

99-128 AIEA HEIGHTS DR
AIEA HI
96701-3925
US

V. Phone/Fax

Practice location:
  • Phone: 657-522-6239
  • Fax:
Mailing address:
  • Phone: 657-522-6239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH KUHAHIWA
Title or Position: OPERATION
Credential:
Phone: 657-522-6239